Organization
LUMINOUS CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANDREA JEFFERSON-SABOOR (FNP)
(404) 354-6988
Entity
Organization
Contact information
Practice address
285 BOULEVARD NE STE 145, ATLANTA, GA 30312-4204
(844) 884-9691
(404) 907-4052
Mailing address
1132 LIBERTY PKWY NW, ATLANTA, GA 30318-9377
(404) 354-6988
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000899643
—
GA
Enumeration date
09/03/2020
Last updated
09/11/2020
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